Lubenskiĭ Iu M, Nikhinson R A, Grushkin V A, Zuev V S, Sotnikova E V
Khirurgiia (Mosk). 1989 Oct(10):44-8.
The authors analysed 368 clinical cases with gastroduodenal hemorrhages. The changes in blood microcirculation and nonspecific immunity were studied in 62 patients. They proposed a method of complex nonoperative treatment of gastrointestinal hemorrhages, including ganglionic block, which made it possible not only to reduce the operative activity but also to achieve epithelialization of ulcers in patients with peptic ulcer. As the result of the study, a unique classification of the severity of blood loss is suggested which is based on the degree of deviation off the tests studied from the normal values. If gastroduodenal hemorrhage continues, an operation is recommended, the character of which is determined by the patient's age, the severity of blood loss, and the source of bleeding and its localization.
作者分析了368例胃十二指肠出血的临床病例。对62例患者的血液微循环和非特异性免疫变化进行了研究。他们提出了一种胃肠道出血的综合非手术治疗方法，包括神经节阻滞，这不仅可以降低手术活性，还能使消化性溃疡患者的溃疡实现上皮化。作为研究结果，提出了一种独特的失血量严重程度分类方法，该方法基于所研究的测试值与正常值的偏差程度。如果胃十二指肠出血持续，建议进行手术，手术方式由患者年龄、失血量严重程度、出血来源及其定位决定。
